Organization
INSTITUTE FOR THE DEVELOPEMENT OF AFRICAN AMERICAN YOUTH
Active
Other names
IDAAY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARCHYE LEACOCK (EXECUTIVE DIRECTOR)
(215) 235-9116
Entity
Organization
Contact information
Practice address
1701 W CHELTEN AVE STE 101A, PHILADELPHIA, PA 19126-3410
(215) 276-5354
(215) 276-5357
Mailing address
PO BOX 2061, PHILADELPHIA, PA 19103-0061
(215) 235-9116
(215) 235-9128
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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